The Effects of parental loss on the psychosocial wellbeing of AIDS-orphaned children living in AIDS-impacted communities: Does gender matter?

Nabunya, Proscovia; Ssewamala, Fred M.

doi:10.1016/j.childyouth.2014.05.011

Cited by 38 publications

(33 citation statements)

References 26 publications

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“…We will use these records to track the location of study participants over time. We have effectively used these methods in other research programs, resulting in very low attrition rates (for SUUBI-Uganda, 2.4% at 10-month follow-up and 7.3% at 24-month follow-up; Suubi+Adherence, 4.3% at 48 months, and Bridges, 4.1% at 12 months, 9.3% at 48 months) [ 10 – 13 , 65 – 71 ]. Hence, we expect attrition from baseline to the end of follow-up to be no more than 20%.…”

Section: Methodsmentioning

confidence: 99%

“…The impairment associated with DBDs in childhood also place youth at increased risk for future school dropout, substance use/abuse, delinquency, incarceration, criminal behaviors, and premature death [ 6 – 9 ]. Studies have identified specific risk factors for increased incidence of DBDs among children, including poverty, low parental educational attainment, maternal depression, harsh parenting, poor parent-child relationship, stress, and orphanhood (the death of one or both parents) [ 10 – 13 ]. Studies emphasize adverse outcomes associated with DBDs, including academic problems, social impairment, a higher incidence of chronic physical problems, unemployment and legal problems, and substance abuse and violence among adults [ 9 , 14 – 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…MFGs are also the core of SUUBI-Maka (Hope for families in Luganda), a family focused, economic-strengthening program tested in Uganda, [ 10 – 13 , 65 – 71 ] furthering the evidence for their feasibility and acceptability in the specific context of this scale-up study. In addition, the development of MFG was guided by recommendations offered by Weisz [ 72 ] and Hoagwood [ 73 ] who argued that to improve implementation of EBPs, development and testing must occur in the setting where the service will ultimately be embedded, with the prior work in South Africa (SA) giving the MFG an important head start in learning about factors that influence implementation and scaling [ 40 , 61 , 70 , 74 , 75 ].…”

Section: Introductionmentioning

confidence: 99%

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Strengthening mental health and research training in Sub-Saharan Africa (SMART Africa): Uganda study protocol

Ssewamala

Bahar

McKay

et al. 2018

Trials

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BackgroundChildren in Sub-Saharan Africa (SSA) comprise half of the total regional population, yet existing mental health services are severely under-equipped to meet their needs. Although effective interventions for the treatment of disruptive behavioral disorders (DBDs) in youth have been tested in high-poverty and high-stress communities in developed countries, and are relevant for widespread dissemination in low- and middle-income countries (LMICs), most of these evidence-based practices (EBPs) have not been utilized in SSA, a region heavily impacted by poverty, diseases including HIV/AIDS, and violence. Thus, this paper presents a protocol for a scale-up longitudinal experimental study that uses a mixed-methods, hybrid type II, effectiveness implementation design to test the effectiveness of an EBP, called Multiple Family Group (MFG) aimed at improving child behavioral challenges in Uganda while concurrently examining the multi-level factors that influence uptake, implementation, sustainment, and youth outcomes.MethodsThe MFG intervention will be implemented and tested via a longitudinal experimental study conducted across 30 public primary schools located in both semi-urban and rural communities. The schools will be randomly assigned to three study conditions (n = 10 per study condition): (1) MFG delivered by trained family peers; (2) MFG delivered by community health workers; or; (3) comparison: usual care comprising mental health care support materials, bolstered with school support materials. A total of 3000 children (ages 8 to 13 years; grades 2 to 7) and their caregivers (N = 3000 dyads); 60 parent peers, and 60 community health workers will be recruited. Each study condition will comprise of 1000 child-caregiver dyads. Data will be collected at baseline, 8 and 16 weeks, and 6-month follow-up.DiscussionThis project is the first to test the effectiveness of the MFG intervention while concurrently examining multi-level factors that influence overall implementation of a family-based intervention provided in schools and aimed at reaching the large child population with mental health service needs in Uganda. Moreover, the study draws upon an EBP that has already been tested for delivery by parent peers and community facilitators, and hence will take advantage of the advancing science behind task-shifting. If successful, the project has great potential to address global child mental health needs.Trial registrationClinicalTrials.gov, ID: NCT03081195. Registered on 16 March 2017.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-2751-z) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Strengthening mental health and research training in Sub-Saharan Africa (SMART Africa): Uganda study protocol

Ssewamala

Bahar

McKay

et al. 2018

Trials

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“…Findings regarding the impact of the Suubi and Bridges interventions on nonfinancial outcomes have also been very positive. Evidence indicates that a matched savings account combined with financial education and mentoring can have positive impacts on educational outcomes (e.g., standardized test scores, confidence in educational plans), mental health (e.g., depression, hopelessness, self-concept), future orientation, and attitudes about sexual risk-taking (see, e.g., Curley, Ssewamala, and Han;Han, Ssewamala, and Wang, 2013;Kagotho and Ssewamala, 2012;Karimli and Ssewamala, 2015;Jennings, Ssewamala, and Nabunya, 2016;Nabunya and Ssewamala, 2014;Ssewamala, Han, et al, 2010;Ssewamala et al, 2012;Ssewamala, Karimili, Neilands, et al, 2016). Longitudinal research on the Suubi and Bridges interventions continues in Uganda.…”

Section: Cda Experiments In Ugandamentioning

confidence: 99%

International Child Development Accounts

Sherraden¹,

Cheng²,

Ssewamala³

et al. 2018

Encyclopedia of Social Work

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Child Development Accounts (CDAs) are subsidized savings or investment accounts to help people accumulate assets for developmental purposes and life course needs. They are envisioned as universal (everyone participates), progressive (greater subsidies for the poor), and potentially lifelong national policy. These features distinguish CDAs from most existing asset-building policies and programs around the world, which are typically regressive, giving greater benefits to the well-off. With policy innovation in recent years, several countries now have national CDA policies, and four states in the United States have statewide programs. Some of these are designed to be universal and progressive. Evidence indicates that true universality can be achieved, but only with automatic account opening and automatic deposits. In the absence of automatic features, advantaged families participate and benefit more. Today, momentum for universal and automatic features is gradually gaining traction and accelerating. At this stage in the emergence of inclusive asset-based policy, this is the most important development.

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“…According to the statistics, 8,000 people die from AIDS each day across the world, and one person dies from AIDS-related diseases every 10 seconds (4). In 2012, about 23 million people were infected with HIV worldwide, 71% of whom lived in sub-Saharan Africa (5).…”

Section: Introductionmentioning

confidence: 99%

A Survey of Knowledge, Attitude, and Practice of AIDS Patients with Regard to the Prevention of Disease Transmission in Yazd and Ahvaz, Iran

Baghianimoghadam

Saki

Khodkar

et al. 2016

Jentashapir J Health Res

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Introduction: The aim of this study was to determine the knowledge, attitude, and practice of AIDS patients with regard to the prevention of disease transmission in Yazd and Ahvaz, Iran. Methods: In this cross-sectional study, we evaluated the knowledge, attitude, and practice of 130 patients, selected via simple sampling, with regard to the prevention of disease transmission in Yazd and Ahvaz, Iran (65 cases from each city). Data were collected by researchers, using a questionnaire and a checklist. For statistical analysis, descriptive and analytical tests were performed, using SPSS version 16. Results: In this study, the sample included 130 AIDS patients from Yazd and Ahvaz. Overall, 67.6% of the patients were male; on the other hand, 29.2% and 32.3% of the participants from Yazd and Ahvaz were female, respectively. As the findings revealed, 44.6% and 55.4% of the patients from Yazd and Ahvaz were married, respectively. The mean scores of knowledge, attitude, and practice of the patients regarding the prevention of HIV transmission were 40.31 ± 3.3, 41.92 ± 8.8, and 43.28 ± 5.3 in Yazd, respectively. Also, the mean scores of knowledge, attitude, and practice with regard to the prevention of HIV transmission were 40.68 ± 3.2.5, 42.52 ± 9.05, and 43.24 ± 6.08 among patients from Ahvaz, respectively. Overall, the results showed that the knowledge, attitude, and practice of most patients were at a medium level. Also, most of the participants from Yazd (70.8%) and Ahvaz (56.9%) had obtained information at AIDS counseling centers. Conclusions:The results highlighted the need to educate patients regarding the prevention of HIV transmission.

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The Effects of parental loss on the psychosocial wellbeing of AIDS-orphaned children living in AIDS-impacted communities: Does gender matter?

Cited by 38 publications

References 26 publications

Strengthening mental health and research training in Sub-Saharan Africa (SMART Africa): Uganda study protocol

Strengthening mental health and research training in Sub-Saharan Africa (SMART Africa): Uganda study protocol

International Child Development Accounts

A Survey of Knowledge, Attitude, and Practice of AIDS Patients with Regard to the Prevention of Disease Transmission in Yazd and Ahvaz, Iran

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